NDC codes

FDA NDC Directory
Product NDC (as listed)63029-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63029-0105Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
63029-105-12630290105121 BLISTER PACK in 1 CARTON (63029-105-12) / 12 TABLET in 1 BLISTER PACKMarketed from Feb 15, 2018
63029-105-30630290105303 BLISTER PACK in 1 CARTON (63029-105-30) / 10 TABLET in 1 BLISTER PACKMarketed from Feb 15, 2018

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Uristat Ultra
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 99.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 63029-105_14db261b-912d-4675-b681-4162d783ae1dSPL ID 14db261b-912d-4675-b681-4162d783ae1dSPL set ID c705185f-4908-451e-993b-b0b8a73f0392RxCUI 1094147, 2000033UNII 0EWG668W17

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463029010512 followed by a unit qualifier and the quantity

Package 63029-0105-12. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Use fast relief from urinary pain, burning, urgency and frequency associated with urinary tract infections

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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